New Code G0511 For FQHCs Expands Chronic Care Management


FQHCs are allowed to bill for certain remote monitoring services using G0511 from Jan 2024. These services include RPM (Remote Patient Monitoring), RTM (Remote Therapeutic Monitoring), CCM (Chronic Care Management), and Principal Care Management (PCM). CMS included G0511 for RPM in its 2024 Physician Fee Schedule (PFS).

Remote care services covered by G0511 can address various chronic diseases, such as:

High blood pressure (Hypertension)
Heart failure (CHF)
Chronic kidney disease (CKD)
Chronic obstructive pulmonary disease (COPD)
Obesity
Diabetes

With many patients having multiple chronic conditions, Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) can make a big difference by offering remote care programs. The inclusion of G0511 for Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) opens up significant opportunities for improving patient outcomes.